Individual
HAYLEY ROSE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2127 W OVERLAND RD, BOISE, ID 83705-3149
(208) 321-4898
Mailing address
2127 W OVERLAND RD, BOISE, ID 83705-3149
(208) 321-4898
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP-5792
ID
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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